scholarly journals Laparoscopic Repair of a Ureteric Sciatic Hernia: Report of a Case

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Yasuo Tsuzaka ◽  
Kazuhiro Saisu ◽  
Nobuo Tsuru ◽  
Yukio Homma ◽  
Hiroyuki Ihara

Ureteric sciatic hernias are extremely rare. Here we report a case of a 78-year-old woman presented with colicky left abdominal pain. Computed tomography revealed a ureteric sciatic hernia, and drip infusion pyelography revealed dilated left ureter with herniation of the ureter into the sciatic foramen. The hernia was successfully repaired laparoscopically. We have described the diagnosis and management of the patient, followed by a review of the literature on sciatic hernias.

2014 ◽  
Vol 99 (4) ◽  
pp. 384-390 ◽  
Author(s):  
Ryohei Nomura ◽  
Hiromi Tokumura ◽  
Makoto Furihata

Abstract We describe the case of a patient with a diaphragmatic hernia associated with radiofrequency ablation for hepatocellular carcinoma who was successfully treated by laparoscopic surgery. A 62-year-old man with a long history of hepatitis C-induced liver cirrhosis was admitted to our institution because of recurrent postprandial periumbilical pain. Eight years earlier, he had undergone radiofrequency ablation for hepatocellular carcinoma at hepatic segment VIII. Computed tomography, gastrografin enema examination revealed transverse colon obstruction because of a diaphragmatic hernia. We diagnosed diaphragmatic hernia associated with the prior radiofrequency ablation treatment. The patient underwent laparoscopic repair of the diaphragmatic hernia. Though the patient experienced the recurrence once, relaparoscopic treatment has improved the patient's conditions. Thus, diaphragmatic hernia can develop as a complication of radiofrequency ablation treatment. A laparoscopic approach is safe, feasible, and minimally invasive, even in patients with cirrhosis who develop iatrogenic diaphragmatic hernia as a complication of radiofrequency ablation treatment.


2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Jumana A. Alratroot ◽  
Amani A. Joudeh ◽  
Samir S. Amr

A 52-year-old woman presented with abdominal pain and vomiting. Computed tomography (CT) scan of the abdomen revealed a huge exophytic gallbladder mass displacing or invading the surrounding structures. The patient underwent radical cholecystectomy, transverse colectomy, distal gastrectomy, and liver bed resection. Histologically, the tumor showed both carcinomatous and sarcomatous components, with prominent chondrosarcomatous differentiation. In addition, several malignant cells showed intracytoplasmic eosinophilic hyaline globules (Thanatosomes). The tumor showed metastatic deposits to the omentum, the liver, and the peripancreatic lymph nodes. We report this unusual case and present a review of all cases of carcinosarcoma of the gallbladder with chondrosarcomatous differentiation.


2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Poonam Mathur ◽  
Miguel A. Lopez-Viego ◽  
Myron Howell

Teratomas are bizarre neoplasms derived from embryonic tissues that are typically found only in the gonadal and sacrococcygeal regions of adults. Retroperitoneal teratomas are rare and present challenging management options. We report here the case of a histologically unusual retroperitoneal tumor detected on computed tomography during the workup of abdominal pain in a 32-year-old male. The evaluation and treatment of this condition and a review of the literature are included in this paper.


Open Medicine ◽  
2012 ◽  
Vol 7 (6) ◽  
pp. 713-715
Author(s):  
Lawrence Toquero ◽  
Roland Fernandes ◽  
Nang Kyi ◽  
Sonia Bains ◽  
Filipos Sagias ◽  
...  

AbstractWe present the first documented case of laparoscopically assisted resection of a jejunal diverticulum. A 53 year old gentleman presented with right sided abdominal pain along with raised inflammatory markers. Computed tomography revealed multiple diverticula in the proximal jejunum, one of which was inflamed. The patient was managed conservatively, and subsequently underwent an elective laparoscopically assisted resection of a jejunal diverticulum with no complications.


Author(s):  
Federico Romano ◽  
Stefania Carlucci ◽  
Guglielmo Stabile ◽  
Giuseppe Mirenda ◽  
Mariateresa Mirandola ◽  
...  

Uterine leiomyomas are a common finding in medical practice, but their frequency changes drastically when contextualized in a syndrome, as in the following case. A 50-year-old woman with a known Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome presented at our clinic with abdominal pain located in the lower quadrants and scarcely responsive to analgesic therapy. A twisted gynecological pelvic mass was diagnosed, and management for prompt resolution was adopted. Histologically the mass was described as a leiomyoma. The aim of the present study is to share our experience and to review the literature to compare different manifestation of the disease and different approach used in the various centers. The additional novelty of the paper is the immunohistochemical study we carried out on the leiomyoma that is contrasted with the current etiopathogenetic theories.


2019 ◽  
Vol 6 (10) ◽  
pp. 3856
Author(s):  
Kirti Savyasacchi Goyal ◽  
Tejinder Pal Singh Sodhi ◽  
Maneshwar Singh Utaal ◽  
Nitish Dhawan ◽  
Mani Garg

Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, aetiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms and most cases are diagnosed at emergency surgery. Use of computed tomography in the evaluation of patients with abdominal pain, the condition can be diagnosed more reliably. Treatment entails simple bowel resection in most cases. Reduction of the intussusception before resection is controversial. Laparoscopic management has been reported to be a safe and feasible option regardless of the etiology. This paper presents the diagnosis and management of two cases of adult intussusception, their presentation and management.


2017 ◽  
Vol 27 (4) ◽  
pp. 412-415 ◽  
Author(s):  
Francesco Colombo ◽  
Pietro Calcagno ◽  
Michele Crespi ◽  
Oriana Bonzanini ◽  
Gianluca M. Sampietro ◽  
...  

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094910
Author(s):  
Zhenbin Zhang ◽  
Menglai Zhang ◽  
Ling Li

Sclerosing encapsulating peritonitis (SEP) is a disease that is rarely encountered clinically. Preoperative diagnosis of SEP can be difficult. However, with imaging technology, such as computed tomography (CT), this condition can be diagnosed without surgery and pathological analysis. SEP is characterized by small intestine being partially or completely encased by a layer of a thick grayish-white fibrocollagenous membrane similar to a cocoon. The most common symptoms of SEP are abdominal pain, nausea, and vomiting. SEP often leads to intestinal obstruction. Our hospital treated three emergency patients who complained of acute or chronic abdominal pain. CT showed “cauliflower sign” in two cases. The three patients were diagnosed with SEP intraoperatively. In a female patient with ascites, the situation was extremely serious, and this condition had not been reported in detail previously. Fortunately, all patients were discharged without complications. We should pay special attention to patients with SEP who have ascites, which indicates a serious situation.


2017 ◽  
Vol 11 (3) ◽  
pp. 651-654 ◽  
Author(s):  
Takahiro Yamanaka ◽  
Kenichiro Araki ◽  
Kei Hagiwara ◽  
Norihiro Ishii ◽  
Mariko Tsukagoshi ◽  
...  

The development of an internal hernia into the Treitz fossa after pancreaticoduodenectomy has not been previously reported. We herein present such a case with a brief review of the literature. A 43-year-old man who had undergone pancreaticoduodenectomy with reconstruction of the digestive tract by the Child method at our hospital 7 months previously presented with abdominal pain. Computed tomography showed intestinal ileus with formation of a small intestinal loop that was suspected to be an internal hernia. Intraoperatively, we found that the dilated small intestine had entered the upper side of the abdomen from the ligament of Treitz. We detached the intestine from the hernia and placed it in its normal position. The ligament of Treitz at the hernia orifice was closed with sutures. The patient remained in good health and was discharged from the hospital 18 days after the second operation. Suturing of the Treitz fossa at the time of pancreaticoduodenectomy may be important to prevent the formation of an internal hernia.


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